Nicole Ortega

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2507 Christie Dr.
Lake Oswego, OR 97034

Phone

(503) 635-3416

NPI assigned

Aug 4, 2016

Reactivated

Oct 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christiecare

  • Psychiatric Residential Treatment Facility
  • Marylhurst, OR
  • NPI 1881637809
  NPD (past)
• Youth Villages

  • Community/Behavioral Health Agency
  • Lake Oswego, OR
  • NPI 1740729490
  NPD (past)
• Youth Villages

  • Adolescent and Children Mental Health Clinic/Center
  • Lake Oswego, OR
  • NPI 1992243992
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1013461326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "MARYLHURST",
            "state": "OR",
            "postal_code": "970360368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 CHRISTIE DR.",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97034",
            "telephone_number": "503-635-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2018-10-23",
        "deactivation_date": "2017-10-11",
        "reactivation_date": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Eye Specialists, PC
• Oregon Hearing Rehab Center LLC
• Oregon Institute of Foot Care LLC
• Oregon Truama Center
• Dolores Orfanakis, M.D.
• Orthodontic Specialists of Lake Oswego
• Orthopedic & Sports Medicine Center of Oregon LLC
• Paul Peter Ortner IV, DDS, CAGS
• Oslo Ortho, LLC
• Arthur Eric Ostergard, MD

• Mental Health Counselor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.